| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INSURANCE INC | 740 REGENT STREET - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.38% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK -STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $965 | $965 | 2.89% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INSURANCE INC. | 740 REGENT ST - SUITE 400 MADISON, WI 53715 | UNITED OF OMAHA INSURANCE COMPANY | — | $743 | $743 | 2.89% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA INSURANCE COMPANY | — | $637 | $637 | 2.48% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INSURANCE INC. | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $693 | $693 | 3.60% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $594 | $594 | 3.08% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INSURANCE, INC. | 740 REGENT ST - SUITE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $438 | $438 | 3.70% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $375 | $375 | 3.17% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA INSURANCE COMPANY | 159 | $38K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 159 | $19K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 159 | $33K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA INSURANCE COMPANY | 159 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.